ion baths, and a fairly liberal diet is maintained. During the
whole course of the disease the skin is never allowed to get blue or
mottled, being quickly restored to the normal red color by the mustard
sheet bath, the short hot-blanket pack, or the dry-blanket pack with
hot-water bottles. Under no circumstances let the child leave the room
or his bed for at least another week.
MUMPS
Infants are rarely affected with mumps. It is a disease of the
salivary glands and (as a rule) is usually preceded by pain between
the ear and the angle of the jaw, accompanied in a short time by
swelling and temperature. It is distinctly contagious even during the
incubation period. There is much tenderness on pressure, and chewing
is difficult and may be impossible. It usually occurs on the face and
only one side may be affected. The bowels should be kept open, the
mouth should be kept clean, and the side of the face should be
protected by a layer of cotton held in place by bandages.
Hot fomentations may be applied if the pain is severe. The electric
light bulb on an extension cord, that was mentioned in connection with
earache, is very comforting in this condition.
Isolation should be maintained for ten days or two weeks after all
symptoms have disappeared.
SCARLET FEVER
Scarlet fever is one of childhood's most dreaded diseases because of,
first, its long quarantine; second, its terrible possibilities of
contagion; and, third, its sequelae.
Absolute quarantine is necessary until ten days after the last signs
of desquamation have disappeared.
This disease is always alarming because of the possibilities of its
sequelae--the danger of pneumonia, inflammation of the ears, abscesses
of the glands of the neck, and nephritis (inflammation of the
kidneys).
Scarlet fever is highly contagious at any time during its onset and
course. Among the first symptoms of the disease are sore throat,
swollen glands, fever, etc. Vomiting on a street car or at the movie
may spread the disease to more than one child who might otherwise have
escaped. One child who may have only a very light form of the disease
may give it to another child in the most severe form. Any such group
of classic symptoms--vomiting, fever, rapid pulse, and sore
throat--should cause any parent immediately to isolate the little
sufferer for several days--awaiting the "rash"--which usually puts in
its appearance after three or four days of increasing temperature.
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